Provider Demographics
NPI:1437590130
Name:BRADY COUNSELING LLC
Entity Type:Organization
Organization Name:BRADY COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOTHERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:BRADY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:860-432-7588
Mailing Address - Street 1:85 FELT RD
Mailing Address - Street 2:SUITE 603
Mailing Address - City:SOUTH WINDSOR
Mailing Address - State:CT
Mailing Address - Zip Code:06074-3870
Mailing Address - Country:US
Mailing Address - Phone:860-432-7588
Mailing Address - Fax:
Practice Address - Street 1:85 FELT RD
Practice Address - Street 2:SUITE 603
Practice Address - City:SOUTH WINDSOR
Practice Address - State:CT
Practice Address - Zip Code:06074-3870
Practice Address - Country:US
Practice Address - Phone:860-432-7588
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-10
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001786101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty